Emergency Medical Priorities

Apologies. Wasn't exactly sure how to Google this.

Timeline: Circa 2014. December.
Location: A highway junction in Maine near a road to a town nobody knows about (Fandom is OUAT; it's a season 4 AU. For those familiar with the canon, it's set when the only way to get back to town is with the scroll, which the driver has.)

Situation: A car hit an ice patch, slid across a two-lane highway, and went partway down a ravine before a snowdrift broke its descent. There was a driver, one passenger in the front, one passenger and one caged live chicken in the back. All humans were wearing seatbelts. Both front airbags deployed. The driver is in the worst shape. Airbag caused broken ribs and possibly other injuries (I can be flexible on this). Front passenger is a bit banged up, but nothing serious. Rear passenger is completely unharmed as is the chicken.

Roughly two hours later, two cars approach from the town. They've got winching kits. One driver goes down to hook up the car, the other (with an injured ankle) remains at the top. They're neither of them trained in first aid, but they do have some vague idea that it's bad to try to move accident victims and since if they get them out of the car, they're going to have to scale the ravine holding onto them, they're going to try hauling out the car with passengers inside. At this point, the front passenger realizes that help has arrived and gets out of the car. A moment later, the rear passenger follows. Both can make it to the top on their own, where the other rescuer awaits. At this point an ambulance arrives from the town with two volunteer EMTs. Assume the ambulance is carrying whatever is standard and the EMTs know what they're doing.

Everything goes well until the backseat passenger realizes who's waiting at the top holding out a hand to help her over. She grabs the hand and manages to yank him over the edge and send him hurtling down the ravine. First rescuer sees what's happening and is close enough to leap to intercept. They continue to slide down, until she's able to grasp the trunk of a shrub, stopping their descent, but wrenching her shoulder. So now, we have:

1. One banged-up, bruised older man with a bad ankle. No life-threatening injuries, but not really up for a climb to the top.
2. One thirty-something woman with a wrenched shoulder, a pain in her knee, a lot of bumps and bruises. Not up for a climb.
3. One injured driver in a car with serious injuries. At this point, they don't know how serious. She was conscious when the passengers left, but again, no medical professionals have examined her and they don't know how bad things are.
4. Two EMTs, one ambulance, and a few decisions to make.

What is the order and priority for rescue?

Note: Because of the nature of the canon, and because the accident happened so close to the town line, assume that calling in additional rescue from outside the town is not going to happen. Nobody else is coming along the highway. Help from town is possible, but could not arrive for at least another 20 to 30 minutes. No helicopters.


Delayed First Aid Following Animal Attack + Misc.

Hello, fine people at little_details.  This is my first post here — usually, I try to BS through the medical miscellany and try to extract what I need from online first aid manuals, but since this is the first significant scene for my character in the last fic in the series, I'd like to get it right for once.

Setting: Post-apocalyptic urban environment.  Medical care is a couple of miles away, and isn't spectacular.  Maybe they have some antibiotics, maybe not.  Nothing's very clean and there aren't many good doctors around.  Nor are people generally inclined to be helpful to disoriented strangers, and I'd like my character to make it through this without help for thematic reasons.

Read more...Collapse )

Hiding a girl inside car's under-floor storage bin

Hi all. First thing first, I'm new not only to Little Details, but to LJ, and I'm not the brightest when it comes to learning how to post in sites I don't know and the such; so, I'm sorry in advance for any mistake. Also, English is not my first language (in case you couldn't tell already).

When and where: October 2014, Louisiana (USA)

What: Some villains in my story kidnap a little girl. They have a car and they planned everything in advance, though they have to rush the actual execution. I'm not going into too much detail: just know that people will assume the girl died in a huge fire and trying to discover she's not would take some time, allowing the kidnappers to leave undisturbed. There is still some possibility that they will be pulled over by the police at some point (the fire looks like a terrorist attack, so they could stop cars in search of suspects); so, they need to hide the girl somewhere safer and less obvious than inside the trunk.
I need the girl to stay alive and mostly unharmed (they travel on a highway for most of the time and never exceed speed limits, so it's not going to be a bumpy ride). She's unable to free herself.

Who: - the villains are a team of four, so I don't need a third row of seats (see below); they can pass for an American happy little family;
- the kidnapped girl is 12 y.o., 146 cm (57.5 inches or about 4’9’’ I suppose... I'm crap at conversions) and extremely skinny (definitely underweight).

Keep in mind that I'm mostly ignorant about cars. I'm not set on a specific car model, but I have already opted for a not-too-conspicuous minivan or crossover SUV. Trying to find a practical and believable solution, I learned that some minivans have spacious "hidden" under-floor storage bays behind the third row. I searched for various 2013-2014 models having this specific feature, and I found some promising ones, like the Dodge Journey, the Nissan Pathfinder, the Kia Sorento... My problem is that it's hard to tell the size of such under-floor storage bins from pics, and I can't find any actual data about it. It's already hard enough to find the width of the cargo area, since manufacturers and reviewers alike seem prone to giving only the volume (cubic feet). My bigger concern is depth, though I think that some use that space for the spare wheel...
Villains could slightly modify the under-floor storage space to make it fit better their needs, though they can't greatly improve its size (for obvious reasons).

So, what I'm asking is:
- do you think it's doable? and believable enough?
- can you suggest me any car model(s) that would work best in my scenario?
- do you think that, in the remote case that police would pull them over, they would search that storage bin? (Police would not be looking for a missing girl, anyways.)
- can you offer any alternative solution? I'm totally open to different ideas.

Research: I tried googling different combinations of words like "2014" "minivan" "under-floor storage [bin]" "size" and, after a bit, added model names once I found the ones that looked the most useful to me. I even checked some of the user manuals... but I found them confusing, so I may have missed something.
I can't directly experiment (and doing it would be way too creepy...)

Writing this post took forever... Thank you in advance!

Portraying a Specific Phobia: Realistic Reactions/Thoughts to Trigger?

Hi Little-Details,

My setting is medieval Japan (1300s into 1400s for this section), in the capital city of Kyoto. The main character, Akiko, is a prostitute. She's also a human-nonhuman hybrid, specifically inugami and human. The work is historical fantasy: historical setting, fantasy details.

My question pertains to *writing* a phobia. The character has a specific phobia, and her inability to deal with it or discuss it ends up causing chaos in her relationships later in life (with husband and her kids). I would be happy to elaborate on that if it's necessary. The phobia in question is tokophobia (fear of pregnancy and childbirth). She has both primary and secondary. This question pertains to primary tokophobia, and phobias in general.

I don't have a phobia, and while I know someone who has this, I'm not barraging her with questions. I'm hesitant to use the boards and forums for the topic for the same reason of not wanting to invade people's safe space for the sake of my story. That said, I'm afraid that I don't really know how encountering the trigger feels, and what always comes to mind is the "hysterical fear reaction" seen in most portrayals of phobias (and internet stories).

I'm wondering, what's a realistic range of reactions to the trigger, beyond full-blown "fight or flight"? Thoughts, also, are a help. I know disgust and fear are common. I can use my own PTSD as a reference point, and I have, but I don't think it gets close to what a phobia really is.
My sources include:

- The DSM-V
- Fundamentals of Abnormal Psychology (textbook)
- "Management of Tocophobic Women" - Anna Roland-Price and Zara Chamberlain (a chapter from "Preconceptual Medicine", a textbook)
- Functional and Dysfunctional Sexual Behavior (textbook)
- Embodying Culture: Pregnancy in Japan and Israel
- Interviews with very kind aforementioned friend

For context: the secondary ends up occurring with her second child after having a fairly positive and trouble-free experience (and very supportive environment) with her first. For those of you who are familiar with this phobia, having children is an oxymoron. To address that: her first child was conceived by accident, and she was presented with no option except going ahead, luckily finding a supportive environment in her husband's community that helped to allay some (but not all) of her fear. The second kid is a plot point.

Thank you very much for your help. I understand that this is a potentially very sensitive topic, and I appreciate your time and willingness to answer it.

Foster care, laws and schools in San Diego in the 90s

Setting: San Diego County, May 1991 - May 1992

Background: 15-year-old protagonist in foster care. His hot-headedness, abandonment and anger issues had him tossed around from foster home to foster home, including several abusive ones, before eventually being dropped in one of the worst group homes where children come and go as they please. One day, he gets bullied at school and retaliates by throwing a table at said bully. He is arrested and tried, and then put into lockup for a year. His social worker pays a visit, and reveals to him the location where he was found abandoned as a child. He is then released after a year, where a friend of his takes him on to investigate further on his roots.

  1. Main character is a 15-year old in the foster care system. He throws a table at a bully in retaliation to being mocked, knocking the bully out cold. No other injuries. Would it be serious enough to warrant him being tried in adult court? Do note that the main character has a history of acting out and is considered a problem student at school due to his anger issues, while the bully comes from a pretty well-off family who wants to screw his life up by bringing the full extent of the law down on him.

  2. If he were to be tried in adult court, he would be charged with either battery or battery causing serious bodily injury under California law, is that correct? I do know it would depend on the amount of damage done however; the bully was only knocked out cold.

  3. The above questions are just to give context to the real issue – I need the protagonist to be charged with a crime serious enough to warrant him a year in lockup (main point is to isolate him from society). Would a battery causing serious bodily injury conviction (adult court or juvenile court) be plausible?

  4. Can he be locked up for a year in juvie? Or it has to be prison? Because I really don’t want to subject a 15-year-old through the horrors of a US jail but still need him to be isolated from society in lock-up for a year for plot purposes.

  5. Being a 15-year-old in the foster care system, would he have access to his own birth certificate? Because the story hinges on him not knowing anything regarding his background until his social worker reveals it to him.

  6. Also, before the entire “table” incident, I have a scene set during 9th grade social studies/US History class, where the students have to give presentations on their family background before coming to America. Is this plausible for a 9th grade social studies/US History class?

Searched terms: Foster child birth certificate, foundling birth certificate America, role of social worker, do foster children have access to their birth certificates, California assault law, California battery law, juvenile court San Diego, juvenile hall America, Kearny Mesa Juvenile Detention Facility, minor tried as adult circumstances, foster child in prison, 9th grade US History syllabus, 9th grade social studies syllabus

Not an American, never set foot in the US before. Any other website suggestions are welcomed, thanks!

Age of Sail terminology

In a flush-decked un-rated warship of the mid-18th century, what are the names of the areas that in larger ships would be occupied by the quarterdeck and foredeck?


National Maritime Museum
Royal Naval Museum


Conway's History of the Ship – The Line of Battle
Harland: Seamanship in the Age of Sail
McLaughlan:The Sloop of War 1650-1763
Willis: Fighting at Sea in the 18th Century

Edit with further information: I've narrowed it down to British single-masted cutters as used in the Seven Years' War; 1756-1753.  Location: the Breton coast.

What are the options for blood loss if a person can't make it to a hospital?

My character has been attacked and essentially cut/stabbed from the bottom of her breast to her hip. She was fighting for a knife, when her attacker slices her as she gives up and tries to escape. She is reluctant to go to the hospital because her attacker is also a cop and everyone knows him there and she doesn't want to have to report anything. She is able to get stitches from someone she knows is a retired nurse but are there options for the blood loss? or would she just die? I am thinking about rewriting the scene entirely.

I've tried looking up alternatives to blood transfusions, how much blood can be lost before it affects health, etc. I mostly got articles in reference to Jehovah's Witnesses.

Also anyone happen to know how long an injury of this nature might take to heal? How long before the stitches would come out? My character is a fairly healthy 17 year old girl.

Non-specialists repairing an electric wheelchair?

For a detail in a story I'm writing, does anyone know how likely it is for someone with general electronics engineering skills to be able to fix a shorted-out electric wheelchair? I need to know if the dad of one of the protag's friends could repair it or if they'd need to get it repaired/replaced by their medical insurance or whatever.

As to research done before this, admittedly none, because I have no clue what to Google in this case.

Don't know if it's relevant, but the story takes place in the modern era (not sure if 2017, or one or two years earlier/later, but in that range), in Oregon.

Edit: Yeah, this was posted months ago but only recently released by the mods, and I got the answers I needed elsewhere in that time. Thanks anyway.

Jew living in Venice, 18th century

Hello little_details! Got a fantasy novel taking place in Venice in the 1730-40s.

I have a character who is a young Jewish man who was born and raised in Venice. I am finding all sorts of great information regarding the Jewish population pretty much from the 10th century to the end of the 17th century. But basically nothing at all for the entire 18th century, at least not until Napoleon shows up at the end. I really need some help filling in this gap. I've scoured the internet with every combination of search terms I can think of but clearly I'm missing something because I am getting next to no information for the 18th century.
Two points I'm particularly stuck on:

1) I know there were laws regarding what sorts of jobs Jews could and could not hold, and how strictly those laws were followed depended on the time period. What I've found so far in my search is leading me to think that at this particular time, those laws weren't followed to the letter, but if anyone has specific information I'd love to see it. In the current story draft, this character is going places and doing things he probably legally shouldn't; I need to know how difficult these things will be for him to accomplish/what punishment he could face.

2) On a related note, I'm finding pretty detailed information on the legally-decreed clothing items Jews were to wear in the city to mark themselves...up until the 1700's. Was it still red hats and scarves at this time, or the yellow circles, or...? And again, how strictly was this followed in this time period?